Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Glenda Carol Black, LMHC, CASAC-2

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902301427

Glenda Carol Black, LMHC, CASAC-2 is a Mental Health Counselor in New York, New York. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

109 W 38th St Rm 303
New York, NY 10018-3643
Phone: (212) 960-8626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 007387 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 31636 (NY)

Record details

NPI number1902301427
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC , CASAC-2
Sole proprietorYes
NPI enumeratedMarch 27, 2018
Last updated in NPPESMarch 27, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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